WHO guidelines in quality assessment of herbal drugs

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WHO guidelines in quality assessment of herbal drugs

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Title: WHO guidelines in quality assessment of herbal drugs


1
Shri Tuljabhavani Sewabhawi Shaikshanik Va
Samagik Shikshan Sanstha, Kothari. HI TECH
COLLEGE OF PHARMACY, CHANDRAPUR Padoli Phata
Nagpur Highway, chandrapur-442401 M-Pharmacy
(1st year, 1st Semester) 2021-2022 Department -
Pharmacognosy(MPG) Name - Maroti Madhukar
Jeurkar Roll No - 02 INDUSTRIAL PHARMACOGOSTICAL
TECHONOLOGY Topic - WHO guidelines in quality
assessment of herbal drugs
2
  • WHO GUIDELINES IN QUALITY ASSESSMENT OF HERBAL
    DRUGS
  • Contents
  • Introduction
  • Objective
  • Assessment of
  • Quality
  • Safety
  • Efficacy
  • Intended use
  • Product information for the consumer
  • Utilization of guidelines
  • Conclusion

3
  • WHO GUIDELINES IN QUALITY ASSESSMENT OF HERBAL
    DRUGS
  • INTRODUCTION
  • Medicinal plants are in use for the purpose of
    treatment of different ailments since centuries.
    There has been an immense increase in sales of
    herbal OTC (Over the counter drugs). This is
    growing to a billion dollar industry.
  • The need for safety and efficacy has also
    escalated since the western interest has grown.
    Thus the need for standardization has come into
    view. The process of evaluation of the quality
    and purity of crude drugs by means of various
    parameters like morphological, microscopical,
    physical, chemical and biological observations is
    called standardization. Standardization of the
    herbal drug begins from the collection of the
    herbal drug to its packaging/use as medicine.
  • Variability in the chemical composition of the
    soil and changes in the climate influence the
    range of phytoconstituents present in the herbal
    drugs.
  • Growing deforestation is leading to increase in
    the number of endangered species of medicinal
    plants. This leads to addition of adulterants or
    substitutes to the herbal drug Addition of
    adulterants and substitutes can change the safety
    and efficacy of the drug.

4
  • For the purpose of these guidelines herbal
    medicine should be regarded as
  • Finished,labelled medicinal products that
    ,contain as active ingredient aerial or
    underground parts of plants, or other plant
    material or combinations there of, whether in the
    crude state or as plant preparations.Plant
    material include juices, gums, fatty oils,
    essential oils and any other substances of this
    nature.Herbal medicines may contain excipients in
    addition to the active ingredients.Medicines
    containing plant material combined with
    chemically defined,isolated constituents of
    plants, are not considered to be herbal medicine.
  • Exceptionally, in some countries herbal medicines
    may also contain, by tradition, natural organic
    or inorganic active ingredients which are not of
    plant origin.
  • The past decade has seen a significant increase
    in the use of herbal medicines. As a result of
    WHOs promotion of traditional medicines ,
    countries have been seeking the assisstance of
    WHO in identifying safe and effective herbal
    medicines for use in national health care system.
  • In both developed and developing countries,
    consumers and health care providers need to be
    supplied with up-to-date and authoritative
    information on the beneficial properties and
    possible harm full effects ,of all herbal
    medicines.

5
  • Objective
  • To define basic criteria for the evaluation of
    quality,safety and efficacy of herbal medicines
    and there by to assist national regulatory
    authorities,scientific organisations and
    manufacturers to under take an assessment of the
    documentation or submission in respect of such
    products.
  • As a general rule in this assessment, traditional
    experience means long term use as well as the
    medical, historical and ethonological background
    of those products shall be taken.

6
  • Assessment of Quality,Safety and Efficacy and
    Intended use
  • Pharmaceutical assessment
  • This part should cover all important aspects of
    the quality assessment of herbal
    medicines.However,if a pharmacopoeia monograph
    exists it should be sufficient to make reference
    to this monograph. If no such monograph is
    avaliable, a momograph must be supplied and
    should be set out in the same way as in an
    official pharmacopoeia.
  • All procedures should be in accordance with Good
    Manufacturing Practices GMP.
  • Crude plant material
  • The botanical definition,including genus,species
    and authority should be given to ensure correct
    identification of a plant.A definition and
    description of the part of the plant from which
    the medicine is made(egleaf,flower,root) has to
    be provided as well as an indication as to
    whether fresh, dried or traditionally processed
    material is used.The active and characteristics
    constituents should be specified and if,possible,
    content limits should be defined.Foriegn
    matter,impurities and microbial content should be
    defined or limited.vocher specimen,representing
    each lot of plant material processed,should be
    authenticated by a qualified botanist and should
    be store for at least a ten year period.

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  • Plant Preparations
  • Plant preparation should include powdered plant
    materials, extracts,tintures,fatty or essential
    oils,expressed juices and preparations whose
    production involves a fractionation, purification
    or concentration process.The manufacturing
    process should be described in detail.If any
    other substance is added during the
    manufacture,to adjust the plant preparation to a
    certain level of active or characteristic
    constituents or for any other purpose,the added
    substsnce should be mentioned in the procedure
    description.
  • A method for identification, and where possible
    assay of plant preparation should be added.If
    the identification of an active principle is not
    possible,it should be sufficient to identify a
    characteristic substance or mixture of substances
    (egchromatographic fingerprint) to ensure
    consistent quality of preparation

8
  • Finished products
  • The manufacturing procedure and formula including
    the amount of excipients should be described in
    detail.
  • A method of identification,and where possible
    quantification,of the plant material in the
    finished product should be defined.
  • If the identification of an active principle is
    not possible,it should be sufficient to identify
    a characteristic substsance or mixture of
    substance (eg,chromatographic fingerprinting) to
    ensure consistent quality of the product.
  • For important finished produts,confirmation of
    regulatory status in the country of the origin
    should be requiredthe WHO certification scheme
    on the quality of the pharmaceutical products
    moving in International Commerce should be
    applied.

9
  • Stability
  • The physicsal and chemical stability of the
    product in the final marketing container should
    be tested under defined storage conditions and
    the shelf-life should be established.
  • Safety assessment
  • This part should cover all the relavent aspects
    of the safety assessment of a medicinal product
    has been traditionally used with out demonstrated
    harm no specific restrictive regulatory action
    should be undertaken unless new evidence demands
    a revised risk-benefit assessment.
  • Toxicological studies
  • If any toxicological studies are available, they
    should be part of the assessment.If a
    toxicological risk is known, toxicity data have
    to be submited.Risk assessment, whether it is
    independent of dose (eg,special danger allergies)
    ,or whether it is a function of dose should be
    documented.

10
  • Assessment of Efficacy and Intended use
  • This part should cover all the important aspects
    of efficacy assessment. A review of the relavent
    literature should be carried out and copies
    provided of the original articles or proper
    references to them.
  • Activity
  • The pharmocological and clinical effects of the
    active ingredients and,if known,their
    constituents with therapeutic activity shoud be
    specified or described.
  • Evidence required to support indications
  • The indications for the use of medicine should be
    specified.In the case of traditional
    medicines,the requrements for proof of efficacy
    shall depend on the kind of indication.

11
  • Combination products
  • As many herbal remedies consist of a combination
    of several active ingredients, and as experience
    on the use of traditional remedies is often based
    on he combination of products,the assessment
    should differentiation between old and new
    combinations products. Identical requrements for
    the assessment of old and new combinations would
    result in an appropriate assessment of certain
    traditional medicines.
  • In the case of traditionally used combination
    products,the documentation of traditional use and
    experience may serve for documentation of
    efficacy.
  • In ordeer to justify the efficacy of a new
    ingredient and its positive effect on the total
    combination,clinical studies may be reqired.

12
  • Product Information for the Consumer
  • The labelling of the products and the package
    insert should be understandable to the
    consumer/patient. The package informstion should
    cover all necessary information on the proper use
    of product. The following elements of
    information usually suffice
  • Name of the product
  • Quantitave list of active ingredient
  • Dosage form
  • Indications
  • Dosage (if appropriate,specified for children and
    the elderly)
  • Mode of administration
  • Duration of use
  • Major adverse effects,if any
  • Over dosage information
  • Contraindication,warnings,precautions and major
    drug indications
  • Use during pregnancy and lactation
  • Expiry date
  • Lot number
  • Holder of the marketing authorisation

13
  • Promotion
  • Advertisements and other promotional activities
    to health personnel and the lay public should be
    fully consistent with the approved package
    information.
  • Utilization of guidelines
  • WHO guidelines for the assessment of herbal
    medicines are intended to facilitate the work to
    a carried out by regulatory authority, scientific
    bodies and industry in the development , and
    assessment and registration of such products.
  • The effective regulation and control of herbal
    medicines moving in international commerce also
    require close liaison with appropriate national
    institutions that are able to keep under regular
    review all aspects of their production and use ,
    as well as to conduct or sponser evaluative
    studies of their efficacy,toxicity,safety,acceptab
    ility, cost and relative value compared with
    other drugs used in modern medicine.

14
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